January 2018 #PRSJournalClub Wrap-Up: “Staying Safe during Gluteal Fat Transplantation”

by Rajiv P. Parikh, MD, MPHS (@rajparikhmd)
Plastic Surgery Resident, Washington University in St. Louis


The January edition of #PRSJournalClub provided an excellent discussion of an important patient safety PRS article entitled “Staying Safe during Gluteal Fat Transplantation” by Villanueva, Del Vecchio, Afrooz, Carboy, and Rohrich. This also represented the first #PRSJournalClub discussion on the #PRSJournal Facebook page, which enabled a broad audience to ask questions and interact directly with the authors. The article can be found here.

In the study, Villaneuva et al. discuss several key principles for ensuring patient safety in gluteal augmentation with fat transplantation. This is an incredibly important topic to all plastic surgeons and for our specialty. There have been several significant complications, inclulding mortality, associated with gluteal fat transplantation and many of these have received substantial media coverage in recent years, leading to the formation of the Aesthetic Surgery Education and Research Foundation’s task force on the topic of safety with these procedures. In this paper, the authors provide key principles and tips to prevent these devastating complications and to ensure all surgeons are providing high quality, safe care to patients. The authors draw from their wealth of experience with these procedures to provide a step-by-step guide, from patient selection to intraoperative technique to postoperative care, for safely performing gluteal fat transplantion for buttock augmentation. The four key principles the authors discuss are 1) the use of large (> 4mm) cannulas, 2) continual motion during injection, 3) superficial, non-intramuscular injection technique with knowledge of the anatomic location and depth of the cannula tip at all times, and 3) avoiding excessive graft fill pressures. These valuable insights from experts such as Drs. Del Vecchio and Rohrich are especially relevant for surgeons looking to implement gluteal augmentation into their practices.

The article was first discussed by the current Resident Ambassadors to the PRS Editorial Board Francisco Egro, MD, Nicole Phillips, MD and Ira Savetsky, MD and the special guest moderator Bernard Lee, MD, MBA. Listen to the podcast discussion below:

In addition, Dr. Jamil Ahmad discussed this article on the #PRSJournal website in an exciting video discussion, which can be found below:

In a #PRSHotTopic video, Editor-in-Chief Dr. Rod J. Rohrich (also one of the authors) discusses his article and highlights salient take-home points from their work. This short video can be found here:

An engaging and thought-provoking online discussion also took place on the #PRSJournal Facebook page, https://www.facebook.com/PRSjournal, over a two-day period (January 21-22), where established plastic surgeons and residents were able to ask questions, and get answers from the authors of the article themselves! Don’t worry if you missed it! A summary of the interesting discussion is provided here.

We hope you enjoy the top highlights from the discussion and look forward to seeing you at the next #PRSJournalClub on Facebook!

Sincerely,

Raj

This January #PRSJournalClub article (as well as other Journal Club selections from January), selected classic pairings and videos, and the entire Facebook Q&A are archived on PRSJournal.com at the following link: https://journals.lww.com/plasreconsurg/pages/collectiondetails.aspx?TopicalCollectionId=321

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